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  1. 広島大学の刊行物
  2. Hiroshima Journal of Medical Sciences
  3. 49巻1号

Laparoscopic Cholecystectomy : Experience with 150 consecutive patients in Kurashiki

https://hiroshima.repo.nii.ac.jp/records/2013471
https://hiroshima.repo.nii.ac.jp/records/2013471
4a846276-ff3a-4493-a627-29d6860b986d
名前 / ファイル ライセンス アクション
HiroshimaJMedSci_49_1.pdf HiroshimaJMedSci_49_1.pdf (656.6 KB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Laparoscopic Cholecystectomy : Experience with 150 consecutive patients in Kurashiki
言語 en
作成者 Hamazaki, Keisuke

× Hamazaki, Keisuke

en Hamazaki, Keisuke

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Kurose, Masao

× Kurose, Masao

en Kurose, Masao

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
主題
主題Scheme Other
主題 Laparoscopic cholecystectomy (LC)
主題
主題Scheme Other
主題 Acute cholecystitis
主題
主題Scheme Other
主題 Bile duct injury
主題
主題Scheme NDC
主題 490
内容記述
内容記述 One hundred and fifty consecutive patients who underwent laparoscopic cholecystectomy (LC) in Kurashiki between March 1991 and December 1997 were studied in order to examine intraoperative procedures, and complications, especially with regard to bile duct injuries and acute cholecystitis, furthermore postoperative management. Nine out of the 150 cases were converted to open cholecystectomy, so that the overall success rate was 94%. One hundred and forty-six patients (97%) presented on an elective basis, and the remaining four patients were admitted as acute cholecystitis. One hundred and forty-four patients had gallbladder stones. All of seven patients had adenomyomatosis with stones (4 cases) and without stones (3 cases). Nine patients had benign polyps of the gallbladder with stones (6 cases) and without stones (3 cases). Seven patients with choledocholithiasis were treated successfully with endoscopic sphincterotomy preoperatively. In six out of eight patients with acute cholecystitis, among whom 4 were treated preoperatively with percutaneous transhepatic gallbladder aspiration (PTGBA), LC was conducted.   Major complications included 3 cases of bile duct injuries (2%). Twenty cases (14) of bleeding encountered during operation were controlled easily under laparoscopy. Postoperative oral feeding was started in nearly all cases on the 1st postoperative day.   In conclusion, LC seems to offer significant advantages to patient recovery but attention to bile duct injury and the judgement for the timing of conversion to open cholecystectomy is considered necessary for a successful LC.
言語 en
出版者
出版者 Hiroshima University Medical Press
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0018-2052
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA00664312
開始ページ
開始ページ 1
書誌情報 Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences

巻 49, 号 1, p. 1-6, 発行日 2000-03
旧ID 37695
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